KRYSTINA RENAE CARVISO (NPI# 1831607506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831607506 |
| Entity Type | Individual |
| Full Name | KRYSTINA RENAE CARVISO |
| Practice Address |
2025 E Aztec Ave Gallup NM 87301-4803 |
| Mailing Address |
Po Box 594 Window Rock AZ 86515-0594 |
| Practice Telephone | 5058633828 |
| Mailing Telephone | 6025255310 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
2025 E AZTEC AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942236328 | Jennifer Smith Freer | Social Worker | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2006-06-25 |
| 1316594088 | Brenda Lynn Padilla | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-08-19 |
| 1932763729 | Leander Nelson | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-04-26 |
| 1710541081 | Willard Eastman | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2019-04-23 |
| 1871085654 | Christina M. Francisco | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2018-06-06 |
| 1528500394 | Jessica Marie Pederson | Counselor | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2016-11-10 |
| 1235503210 | John Chapman | Case Manager/Care Coordinator | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2015-11-13 |
| 1245670421 | Frances B Andablo | Behavioral Analyst | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2013-07-02 |
| 1538504477 | Alie Nizam Muhsin | Marriage & Family Therapist | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2013-05-06 |
| 1386998813 | Chelsea Linn Kettering | Behavioral Analyst | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2012-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164638565 | Grace Personal Care Service, Inc | Case Management | 1613 South 2nd Street, Gallup, NM 57301-5816 | 2007-05-15 |
| 1629495296 | Synergy Behavioral Health Center, P.C. | Case Management | 211 W Mesa Ave, Suite #4, Gallup, NM 87301-6382 | 2014-03-21 |
| 1720189996 | Pms Western Nm Behavioral Health | Case Management | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482672 | Robert Long | Case Management | 320 S Ridge Rd, Silver City, NM 88061-6610 | 2020-03-19 |
| 1275174658 | Shadow Rock Care Services | Case Management | 1485 N Main St, Las Cruces, NM 88001-1181 | 2019-10-07 |
| 1225688245 | Life's New Chapter's, LLC | Case Management | 216 W Plains Ave, Clovis, NM 88101-4223 | 2019-09-12 |
| 1083262778 | Heart of Nm Case Management, LLC | Case Management | 225 E Idaho Ave Ste 20, Las Cruces, NM 88005-3242 | 2019-08-27 |
| 1386129112 | Trilogy New Mexico, LLC | Case Management | 1096 Mechem Dr Ste 201, Ruidoso, NM 88345-7068 | 2018-09-27 |
| 1225513013 | World Assistance Network | Case Management | 6001 Sunset Gardens Rd Sw, Albuquerque, NM 87121-3252 | 2018-09-27 |
| 1487157046 | Sunshinecare Home Services, LLC | Case Management | 1005 21st St Se Ste V-1, Rio Rancho, NM 87124-4030 | 2018-03-09 |
| 1144754656 | Eight Northern Indian Pueblos | Case Management | 2201 San Pedro Dr Ne Ste 220, Albuquerque, NM 87110-4133 | 2017-04-12 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1619323565 | Pueblo of Acoma | Case Management | 45 Pinsbaari Dr., Pueblo of Acoma, NM 87034-0328 | 2016-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.